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PREPARATION PHASE:
• Rest splint
o 2 Horizontal bars
o 1 diagonal bar
• Start from thigh area (Thomas splint) then to leg area (Pearson attachment)
• Provide space or 1 inch apart between the slings for ventilation and prevent irritation
• Apply not to lose or not too tight to support and follow contour of leg
4. Tie the short rope (thigh rope) to medial portion of the Thomas splint with Slip Knot
• Provide privacy
5. Apply the prepared set-up to the patient
• Avoidance of friction
a) Weight should be hanging freely
b) Observe for signs of wear and tear on the ropes and bag
c) Rope should run freely along the grove of the pulley
NURSING CARE
• Skin care
• Hair care
• Nail care
• Deep breathing
• Coning exercise
a) Hypostatic pneumonia
Deep breathing
Keep back dry
b) Bed sore /decubitus ulcer
• Isometric (affected)
d) Constipation
• Fluid intake
• Exercise
• Offer bedpan
e) Infection
TRACTIONS
TYPES INDICATION
1. BALANCE SKELETAL TRACTION Fracture of hip and femur
2. BOOST CAST TRACTION Post polio with residual paralysis
3. BRYANT TRACTION Fracture of hip and femur. For Congenital Hip
Dislocation
4. BUCK’S EXTENSION TRACTION Fracture of hip and femur
5. COTREL TRACTION For Scoliosis
6. CRUTCHFIELD ONG Fracture of cervical spine
7. DUNLOP TRACTION Fracture of the supracodylar of the humerus
8. HALO-FEMORAL TRACTION For Scoliosis
9. HALO-PELVIC TRACTION For Scoliosis (severe)
10. HAMMOCK SUSPENSION Fracture of the pelvis
TRACTION
11. HEAD HALTER TRACTION Fracture of the cervical spine
12. 90 90 DEGREES TRACTION Fracture of the subtrochanteric
13. OVERHEAD TRACTION Fracture of the supracondyle of humerus
14. PELVIC GIRDLE Fracture of the lumbar spine. For Herniated
nucleus Polposus
15. VINKE’S CALLIPER Fracture of the cervical spine
16. ZERO DEGREE TRACTION Fracture of the surgical humerus
17. Stove in chest Multiple rib fractures
BRACES
TYPES INDICATOR
1. BANJO SPLINT Peripehral nerve injury
2. BILATERAL LEG BRACE Post polio with residual paralysis,
3. CHAIR BACK BRACE Lumbo-sacral affection
4. COCKED-UP SPLINT Prevention of wrist drop
5. DENNIS BROWN SPLINT Club foot deformity
6. FORESTER BRACE Cervico-thoraco-lumbar spine affection
7. FOUR POSTER BRACE Cervical spine affection
8. JEWETTE BRACE Dorso-lumbar spine fracture
9. KNIGHT/TAYLOR BRACE Upper spine fracture
10. MILWAUKEE BRACE Scoliosis
11. OPPEN HEIMER SPLINT/LIVELY Peripheral nerve injury
FINGER
12. PHILADELPHIA COLLAR Cervical spine affection (thick)
13. SHANTZ COLLAR Cervical spine affection (soft)
14. UNILATERAL LEG BRACE Post polio with residual paralysis
15. YAMAMOTO BRACE scoliosis
GADGETS HARDWARE
TYPES INDICATOR
Crutch field Tong Cervical Spine
Circlage Wiring Patella
Gigli saw For amputations
Antibiotic bead Osteomyelitis
5 JOSEPH MANUEL RADAM DIVINE WORD COLLEGE OF BANGUED College of
Nursing
NURSING CARE OF PATIENTS WITH ALTERATIONS IN COORDINATION